{"procedure":{"code_type":"CPT","code":"15278","lay_name":"Skin substitute graft, face/hands/feet, extra 100 sq cm","blurb":"Add-on charge for each additional 100 square centimeters, or part of it, of a large wound on the face, scalp, mouth, neck, ears, genitals, hands, feet, or digits, or each additional 1% of body surface in children.","slug":"cpt-15278-skin-substitute-graft-face-hands-feet-extra-100-sq-cm","description":"Sub Grft F/S/N/H/F/G/M/D >= 100scm Adl 100sq Cm","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"172","label":"Skin graft","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":1566,"n_usable":1374,"n_not_usable":1,"n_labelled":70,"n_no_cash":121,"n_estimated":0,"n_states":50,"cash_p10":106.75,"cash_p20":171.6,"cash_p25":227.2,"cash_p50":616.79,"cash_p75":1360.4,"cash_p80":1663.12,"cash_p90":2912.29,"cash_mean_trimmed":714.07,"gross_p50":1130.38,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":19,"p20":248.0,"p50":702.98,"p80":2926.5},{"state":"AR","n":15,"p20":164.0,"p50":831.35,"p80":1096.0},{"state":"AZ","n":15,"p20":167.4,"p50":2476.0,"p80":2476.0},{"state":"CA","n":75,"p20":355.65,"p50":1148.0,"p80":1578.0},{"state":"CO","n":36,"p20":272.86,"p50":399.99,"p80":1341.2},{"state":"CT","n":14,"p20":812.35,"p50":1377.45,"p80":2153.84},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":55,"p20":876.0,"p50":908.05,"p80":2810.5},{"state":"GA","n":34,"p20":447.37,"p50":517.5,"p80":1526.28},{"state":"HI","n":10,"p20":93.6,"p50":112.2,"p80":366.8},{"state":"IA","n":39,"p20":151.0,"p50":446.4,"p80":1545.0},{"state":"ID","n":10,"p20":587.73,"p50":1038.0,"p80":2988.0},{"state":"IL","n":63,"p20":145.0,"p50":767.52,"p80":1350.0},{"state":"IN","n":38,"p20":126.75,"p50":347.66,"p80":1006.2},{"state":"KS","n":28,"p20":97.75,"p50":283.5,"p80":477.0},{"state":"KY","n":18,"p20":105.0,"p50":544.8,"p80":2380.0},{"state":"LA","n":23,"p20":188.32,"p50":484.96,"p80":937.34},{"state":"MA","n":21,"p20":135.49,"p50":592.0,"p80":1024.27},{"state":"MD","n":8,"p20":null,"p50":null,"p80":null},{"state":"ME","n":7,"p20":null,"p50":null,"p80":null},{"state":"MI","n":61,"p20":73.17,"p50":250.25,"p80":1451.8},{"state":"MN","n":28,"p20":156.8,"p50":478.61,"p80":691.56},{"state":"MO","n":40,"p20":248.3,"p50":391.6,"p80":2250.3},{"state":"MS","n":27,"p20":117.25,"p50":204.3,"p80":410.1},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":30,"p20":188.86,"p50":513.1,"p80":1377.6},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":26,"p20":109.15,"p50":241.2,"p80":509.0},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":33,"p20":193.8,"p50":3999.25,"p80":5419.0},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":49,"p20":208.75,"p50":787.73,"p80":1992.9},{"state":"OH","n":94,"p20":500.4,"p50":1222.5,"p80":3101.8},{"state":"OK","n":31,"p20":68.4,"p50":489.2,"p80":2100.6},{"state":"OR","n":27,"p20":139.2,"p50":873.0,"p80":1122.39},{"state":"PA","n":58,"p20":133.2,"p50":559.8,"p80":2827.0},{"state":"RI","n":4,"p20":null,"p50":null,"p80":null},{"state":"SC","n":25,"p20":1116.0,"p50":3941.6,"p80":3941.6},{"state":"SD","n":10,"p20":225.0,"p50":1305.6,"p80":1305.6},{"state":"TN","n":33,"p20":136.62,"p50":206.08,"p80":1144.2},{"state":"TX","n":79,"p20":554.1,"p50":605.56,"p80":1057.11},{"state":"UT","n":15,"p20":718.52,"p50":718.52,"p80":1152.64},{"state":"VA","n":32,"p20":142.8,"p50":1900.8,"p80":3101.5},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":36,"p20":188.5,"p50":774.8,"p80":2819.59},{"state":"WI","n":41,"p20":189.06,"p50":304.85,"p80":704.7},{"state":"WV","n":21,"p20":59.5,"p50":164.0,"p80":838.0},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1054,"p20":227.2,"p50":724.8,"p80":1795.8},{"key":"childrens","n":22,"p20":245.31,"p50":1516.84,"p80":11286.07},{"key":"critical_access","n":290,"p20":122.1,"p50":304.85,"p80":1063.15}],"ownership":[{"key":"for_profit","n":102,"p20":272.86,"p50":710.0,"p80":2370.75},{"key":"government","n":235,"p20":148.0,"p50":498.81,"p80":1524.0},{"key":"nonprofit","n":1029,"p20":182.9,"p50":641.76,"p80":1680.25}],"affiliation":[{"key":"affiliated","n":1120,"p20":189.06,"p50":683.39,"p80":1741.0},{"key":"independent","n":254,"p20":136.0,"p50":412.5,"p80":1368.0}]},"histogram":[{"lo":67.36,"hi":101.19,"n":53},{"lo":101.19,"hi":152.0,"n":117},{"lo":152.0,"hi":228.34,"n":106},{"lo":228.34,"hi":343.01,"n":109},{"lo":343.01,"hi":515.27,"n":161},{"lo":515.27,"hi":774.04,"n":154},{"lo":774.04,"hi":1162.76,"n":197},{"lo":1162.76,"hi":1746.7,"n":154},{"lo":1746.7,"hi":2623.89,"n":91},{"lo":2623.89,"hi":3941.6,"n":104}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:52.941847Z","n_priced_setters":3956,"n_filed":1111,"n_usable":1000,"n_not_usable":0,"n_labelled":38,"n_no_cash":73,"n_estimated":0,"n_states":50,"cash_p10":121.8,"cash_p20":189.1,"cash_p25":272.86,"cash_p50":683.39,"cash_p75":1406.0,"cash_p80":1689.12,"cash_p90":2868.0,"cash_mean_trimmed":776.55,"gross_p50":1228.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":12,"p20":248.0,"p50":497.5,"p80":2926.5},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":13,"p20":167.4,"p50":2476.0,"p80":2476.0},{"state":"CA","n":64,"p20":407.0,"p50":1148.0,"p80":1779.4},{"state":"CO","n":31,"p20":272.86,"p50":617.0,"p80":1341.2},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":38,"p20":585.0,"p50":908.05,"p80":3884.3},{"state":"GA","n":25,"p20":498.81,"p50":498.81,"p80":1526.28},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":25,"p20":151.0,"p50":492.66,"p80":1360.4},{"state":"ID","n":10,"p20":587.73,"p50":1038.0,"p80":2988.0},{"state":"IL","n":58,"p20":134.92,"p50":1062.0,"p80":1350.0},{"state":"IN","n":19,"p20":70.95,"p50":154.2,"p80":1012.2},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":14,"p20":105.0,"p50":561.14,"p80":2380.0},{"state":"LA","n":8,"p20":null,"p50":null,"p80":null},{"state":"MA","n":17,"p20":74.2,"p50":371.0,"p80":941.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":50,"p20":159.0,"p50":507.6,"p80":1572.5},{"state":"MN","n":15,"p20":133.0,"p50":478.61,"p80":1243.5},{"state":"MO","n":22,"p20":96.0,"p50":391.6,"p80":1031.42},{"state":"MS","n":18,"p20":179.2,"p50":335.42,"p80":650.5},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":18,"p20":57.0,"p50":373.95,"p80":982.8},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":13,"p20":152.5,"p50":275.76,"p80":492.66},{"state":"NH","n":8,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":16,"p20":707.2,"p50":1210.0,"p80":4430.0},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":33,"p20":165.0,"p50":610.0,"p80":1521.0},{"state":"OH","n":84,"p20":500.4,"p50":1222.5,"p80":3101.8},{"state":"OK","n":23,"p20":222.2,"p50":460.2,"p80":1125.0},{"state":"OR","n":19,"p20":128.26,"p50":292.0,"p80":1122.39},{"state":"PA","n":46,"p20":293.0,"p50":606.0,"p80":2827.0},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":23,"p20":1116.0,"p50":3941.6,"p80":3941.6},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":31,"p20":137.55,"p50":206.08,"p80":1144.2},{"state":"TX","n":72,"p20":554.1,"p50":605.56,"p80":1057.11},{"state":"UT","n":13,"p20":718.52,"p50":718.52,"p80":1152.64},{"state":"VA","n":30,"p20":137.55,"p50":1900.8,"p80":3101.5},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":28,"p20":644.8,"p50":1063.15,"p80":2897.77},{"state":"WI","n":27,"p20":160.0,"p50":304.85,"p80":478.5},{"state":"WV","n":9,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":820,"p20":259.8,"p50":774.8,"p80":1741.0},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":164,"p20":125.3,"p50":304.85,"p80":1243.5}],"ownership":[{"key":"for_profit","n":86,"p20":179.2,"p50":635.84,"p80":1803.0},{"key":"government","n":133,"p20":165.2,"p50":620.5,"p80":1607.07},{"key":"nonprofit","n":773,"p20":211.4,"p50":683.39,"p80":1682.0}],"affiliation":[{"key":"affiliated","n":852,"p20":242.65,"p50":749.84,"p80":1741.0},{"key":"independent","n":148,"p20":104.94,"p50":407.0,"p80":1377.45}]},"histogram":[{"lo":79.2,"hi":115.9,"n":46},{"lo":115.9,"hi":169.61,"n":85},{"lo":169.61,"hi":248.2,"n":54},{"lo":248.2,"hi":363.22,"n":72},{"lo":363.22,"hi":531.53,"n":105},{"lo":531.53,"hi":777.83,"n":128},{"lo":777.83,"hi":1138.27,"n":123},{"lo":1138.27,"hi":1665.74,"n":129},{"lo":1665.74,"hi":2437.63,"n":80},{"lo":2437.63,"hi":3567.2,"n":88}],"previous":null}},"related":[{"code_type":"CPT","code":"15271","lay_name":"Skin substitute graft, trunk/arm/leg, first 25 sq cm","slug":"cpt-15271-skin-substitute-graft-trunk-arm-leg-first-25-sq-cm"},{"code_type":"CPT","code":"15275","lay_name":"Skin substitute graft, face/hands/feet, first 25 sq cm","slug":"cpt-15275-skin-substitute-graft-face-hands-feet-first-25-sq-cm"},{"code_type":"CPT","code":"15272","lay_name":"Skin substitute graft, trunk/arm/leg, extra 25 sq cm","slug":"cpt-15272-skin-substitute-graft-trunk-arm-leg-extra-25-sq-cm"},{"code_type":"CPT","code":"15276","lay_name":"Skin substitute graft, face/hands/feet, extra 25 sq cm","slug":"cpt-15276-skin-substitute-graft-face-hands-feet-extra-25-sq-cm"},{"code_type":"CPT","code":"15273","lay_name":"Skin substitute graft, trunk/arm/leg, first 100 sq cm","slug":"cpt-15273-skin-substitute-graft-trunk-arm-leg-first-100-sq-cm"},{"code_type":"CPT","code":"15274","lay_name":"Skin substitute graft, trunk/arm/leg, extra 100 sq cm","slug":"cpt-15274-skin-substitute-graft-trunk-arm-leg-extra-100-sq-cm"},{"code_type":"CPT","code":"14040","lay_name":"Skin flap repair on neck, hands or face, up to 10 sq cm","slug":"cpt-14040-skin-flap-repair-on-neck-hands-or-face-up-to-10-sq-cm"},{"code_type":"CPT","code":"15004","lay_name":"Wound bed prep for graft, face or hands, first 100 sq cm","slug":"cpt-15004-wound-bed-prep-for-graft-face-or-hands-first-100-sq-cm"},{"code_type":"CPT","code":"15002","lay_name":"Wound bed preparation on trunk, arm or leg, first area","slug":"cpt-15002-wound-bed-preparation-on-trunk-arm-or-leg-first-area"},{"code_type":"CPT","code":"15277","lay_name":"Skin substitute graft, face/hands/feet, first 100 sq cm","slug":"cpt-15277-skin-substitute-graft-face-hands-feet-first-100-sq-cm"},{"code_type":"CPT","code":"14060","lay_name":"Skin flap repair on nose, ear or lip, up to 10 sq cm","slug":"cpt-14060-skin-flap-repair-on-nose-ear-or-lip-up-to-10-sq-cm"},{"code_type":"CPT","code":"15240","lay_name":"Full-thickness graft, face/neck/hands/feet, up to 20 sq cm","slug":"cpt-15240-full-thickness-graft-face-neck-hands-feet-up-to-20-sq-cm"}]}